Death Claim - Gbic.co.in

this fact in his personal statement at the time of revival. Hence in terms of thedeclaration signed by the life assured at the foot of the personal statement, the revivalof the policy was declared Null and Void and as the policies in questions had acquiredpaid up value before effecting the revival, the death claim for paid up value wassettled. In view of the above facts, the case did not deserve any consideration.At the time of hearing, the representative of the complainant contested that the paid upvalue under the policies was received by J&K Bank to whom the policies were assignedand the amount of Rs.1,59,825/- was equal to the amount of loan taken from the bank.How could LIC of India decide to pay only the amount equal to the loan taken from thebank? They should have paid Rs.3.75 lakh under the policies. LIC of India contestedand produced a certificate of Dr.J.C.Vij of Pushpawati Singhania Research Institutewhich mentions that Shri Atul Kumar Mahendru was first admitted on 11.04.2002 withthe complaints of cirrhosis liver with portal Hypertension, Upper GI Bleed(Esophageal)Varices, 5 times between 04/2002 to 30.12.2003. They also produced declaration ofgood health filled in by late Shri Atul Kumar Mahendru and against question No.2wherein he had declared that he had not needed any medical attention.On examination of the papers submitted and after hearing both the parties, it isobserved that Shri Atul Kumar Mahendru as per Dr.J.C.Vij’s Certificate, has beenadmitted in Pushpawati Singhania Research Institute 5 times between 04.2002 to30.12.2003 for the treatment of cirrhosis liver with portal Hypertension, Upper GIBleed(Esophageal) Varices, which had not been disclosed by Shri Atul KumarMahendru in his declaration of good health at the time of revival of the policy. Nondisclosure of material information by him has resulted into the policies being Null andVoid and, therefore, I uphold the decision taken by LIC of India making payment only ofthe paid up value under the policies since they had run for more than 3 years from thelast unpaid premium.There is no further relief to be granted to the complainant.Complaint is disposed of finally.Delhi Ombudsman CentreCase No. : LI/DL-III/260/05-06Smt.Lajja DeviVsLife Insurance Corporation of IndiaAward Dated : 31.1.2007Smt. Lajja Devi had lodged a complaint with this Forum on 10.08.2005 that herhusband late Shri Inder Singh had taken a policy No.111036549 from LIC of Indiaunder Salary Savings Scheme. He died on 24.06.2004. The cause of his death wasroad accident at Azadpur. Some unknown vehicle/person had hit him, he fell down andgot some head injury. As a result of which, he became unconscious and died in thehospital. This is as per the police report, hospital and post mortem report. Shepreferred a claim with LIC of India, they had repudiated the claim because of falsedeclaration in the proposal form under question No.11. She has declared that herhusband was hail and hearty and was working as a labourer. It was not possible forhim to discharge his duties in case he was not medically fit. Having cough and cold isnot a major illness and her husband had died as a result of accident which has nobearing on this question. She has requested the Forum to pay the claim.LIC of India, vide their letter dated 10.10.2005, had informed the Forum that late ShriInder Singh took the above policy on 10.03.2004 and died on 24.06.2004, that is, after